orm_may-2024 - 3

EDITORIAL
www.ormanager.com
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Vol. 40, No. 5 May 2024 * OR Manager (ISSN 8756-8047)
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www.accessintel.com
eft sniffling and sneezing after a
whirlwind 4 days at my first AORN
Global Surgical Conference and
Expo in Nashville, Tennessee, I had
more on my mind than whether the term
" conference-acquired infection (CAI) "
was officially part of the medical nomenclature,
much less whether any studies
had been done.
L
I was struck by the
extent of the perioperative community's
commitment to not just their patients,
but also to one another.
I couldn't hope to attend the entire
slate of educational sessions. Nonetheless,
virtually every one I saw-including
those purporting to focus on technology
or clinical best practices-had lessons
to offer about teamwork, communication,
and how to work together seamlessly
to ensure the best possible outcomes
in the OR and beyond.
SSI prevention is about more
than process
In a presentation focused on new Centers
for Disease Control and Prevention
surgical site infection (SSI) prevention
guidelines for colorectal procedures,
Perioperative Consultant Peter Graves,
BSN, RN, CNOR, focused mostly on
process. However, he also took care
to point out that " effective and consistent "
communication and " ongoing
and creative " education are required to
overcome the very human barriers to effective
SSI prevention processes.
These barriers are outlined in The
Joint Commission's Implementation
Guide for NPSG.07.05.01 on Surgical
Site Infections. This publication notes
that " high level leadership intervention
was necessary to assist with overcoming "
physician resistance at some
hospitals, which also had to deal with
staff's " resistance to change. " Among
other recommendations, Graves advised
the creation of a " surgical stewardship
team " consisting of surgeons
and senior leadership to lead the effort
to teach and practice these recommendations
in the OR, as well as defining a
goal of " zero tolerance " for healthcareassociated
infections.
www.ormanager.com
Sterile processing is a team
effort
The SSI prevention session was not
the only example of teamwork and communication
shining through in content
ostensibly focused on process and
technology. Consider " The Lumen Dilemma "
from Cheri Ackert-Burr, DNP,
RN, BAEd, CNS, CNOR, AGTS, CER, a
fellow for clinical practice at STERIS
(formerly known as Cantel Medivators)
in Houston, Texas. One of the most
memorable themes of this presentation
was the idea that proper instrument
care is everyone's responsibility, including
OR personnel.
" But why do I have to do anything
for instruments going straight to sterile
processing? " goes one common refrain.
Perhaps the best answer is that leaving
it entirely to the sterile processing
department (SPD) can significantly delay
proceedings in the OR later because dry
residue on scopes and surgical tools
makes them more difficult to clean.
Even in the absence of audits or accountability
measures ensuring pointof-use-care,
wiping instruments down
makes the SPD's work easier and
faster. This task may take a little time,
but again: Instrument care and handling
should be everyone's responsibility. At
the least, keeping instruments moist
with pretreatment product or a towel
moistened with sterile water (as well
as irrigating those troublesome lumens
that were the focus of much of the session)
can prove that the OR team consists
of team players.
Where teamwork matters most
A presentation from Melissa (Leasa)
OR Manager | May 2024
3
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